DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
593179014
|
2024-07-09
|
DERRICK DENTAL CARE, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2024-07-09 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
593179014
|
2023-07-12
|
DERRICK DENTAL CARE, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2023-07-12 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
593179014
|
2022-10-06
|
DERRICK DENTAL CARE, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2022-10-06 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
593179014
|
2021-08-06
|
DERRICK DENTAL CARE, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2021-08-06 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
593179014
|
2020-08-28
|
DERRICK DENTAL CARE, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2020-08-28 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
593179014
|
2019-09-09
|
DERRICK DENTAL CARE, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2019-09-09 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
593179014
|
2018-09-17
|
DERRICK DENTAL CARE, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2018-09-17 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
593179014
|
2017-07-28
|
DERRICK DENTAL CARE, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
593179014
|
2016-08-30
|
DERRICK DENTAL CARE, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2016-08-30 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERRICK DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
593179014
|
2015-08-10
|
DERRICK DENTAL CARE, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4077888400
|
Plan sponsor’s
address |
2633 W. STATE ROAD 434, LONGWOOD, FL, 32779
|
Signature of
Role |
Plan administrator |
Date |
2015-08-10 |
Name of individual signing |
ANTHONY C. DERRICK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|